21D2109424 CLIA NUMBER - HEALTHY LIVES, LLC

Laboratory Demographics

  • CLIA Code: 21D2109424
  • Facility Name: HEALTHY LIVES, LLC
  • Facility Address: 1001 PINE HEIGHTS AVE #303
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 443 219-7901
  • Facility Type: Other - BEHAVIORAL HEALTH FACILIT
  • Facility Type: Waiver
  • Lab Director: AHMEIN K. WATSON
  • NPI Number: 1366827073
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2109424
LAB Type Other - BEHAVIORAL HEALTH FACILIT
Facility Name HEALTHY LIVES, LLC
Street 1001 PINE HEIGHTS AVE #303
City BALTIMORE
State MD
ZIP 21229
Phone 443 219-7901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Other - BEHAVIORAL HEALTH FACILIT
Lab Director AHMEIN K. WATSON

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This page was last updated on: 9/29/2025